Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Banton

Individual provider Family Nurse Practitioner · NPI 1508698564

Desiree Banton is a Nurse Practitioner in Houston, Texas. Qualified in 2020, 6 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Florida, New York and Texas.

Years since qualifying
6
Licensed in
FL, NY, TX
In the registry since
2024
Specialties on file
3

Practice location Address checks out

2244 W Holcombe Blvd
Houston, TX 77030-2008
Phone: (713) 636-2621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1172495 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 335410 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11033712 (FL)

Record details

NPI number1508698564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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